Bedford Road

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and support was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider monitored people’s needs closely and ensured any changes were discussed within the staff team and escalated appropriately. Staff involved people, relatives and other representatives in assessments and reviews. They spoke confidently about people’s changing needs and associated risks.

The provider planned and delivered people’s care and support with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People received care that was based on comprehensive assessments of their needs, preferences and risks. Support strategies reflected people’s individual needs and included adapting communication, providing reassurance and using consistent approaches. Staff followed established guidance, including recommendations from speech and language therapists, when supporting people.

People had sufficient food and drink available to meet their needs. Staff had developed a diverse menu with input from people. Alternative meal options were available for people who did not want the main meal. The kitchen was stocked with a range of food, including fresh fruits and vegetables. We observed staff offering people drinks throughout the day and supporting them to have meals of the required consistency.

The provider worked well across teams and services to support people. Staff worked as a team, supporting each other to deliver care that was safe and responsive to people’s needs.

Staff worked closely with health and social care professionals and external agencies to coordinate people’s care and treatment. The service kept a clear log of their involvement, including input from health services. This helped ensure people received specialist support when needed and that their care remained consistent and well-coordinated.

The provider supported people to maintain their health, wellbeing and quality of life. Staff monitored people’s health and wellbeing and escalated concerns promptly.

Where people had developed certain medical conditions, care records provided clear accounts of staff observations and the actions taken. Staff ensured people attended their health appointments, including dental appointments, optician visits and follow-up checks. A relative was concerned that their family member was overweight but felt they had started to lose weight. They reported being satisfied with their family member’s diet and the variety of food provided.

The provider routinely monitored people’s care and support to continuously improve it. They ensured that outcomes were positive and consistent, and that care met clinical expectations and reflected people’s individual needs, preferences and known wishes.

Staff reviewed people’s care regularly, including when changes to their needs had been identified. They supported people to identify and work towards their goals, following a clear process to support them in achieving these. For example, people had been supported to go on holiday, including abroad.

The provider told people about their rights around consent and respected these when delivering person-centred care and support.

Information on people’s mental capacity and ability to make decisions was documented in their care plans. Staff explained how they supported people to make simple day-to-day decisions, while more complex decisions were made in people’s best interests where they lacked capacity. This demonstrated staff understood, and were applying, the principles of the Mental Capacity Act. They told us they would involve people’s relatives and other relevant professionals in decision-making where appropriate. This supported people to be involved in decisions about their care and treatment and to give consent wherever they had the capacity to do so.